We work hard to ensure that our new patients are well at ease,
because we know that visiting a doctor for the first time can be an
overwhelming and nerve wracking experience. At our office, you will be welcomed with a warm greeting, have the option to complete the paperwork in the comfort of your own home, and have a personalized conversation on strategies that will contribute to improving the quality of your life.
When you complete these forms ahead of time, it allows us to get right to your care. Having insight into your health history provides us with indications as to how we might work with any current issues you may be experiencing. Patient Health History is required for age twelve or above. Please print the agreements below and allow us to provide the best service and best results in the shortest amount of time.
Click on the forms you need, print and complete the requested information.
If possible, please fax, mail, or drop off your forms to our office prior to your appointment; if not, please arrive 15 minutes before your scheduled appointment with your paperwork completely filled out.
Please do not email forms to our office.
Our forms are in PDF format. You can download the Free AdobeReader here.
At the bottom of the patient health history, there is section labeled "MY PRIVACY". The signature is a confirmation that you've read/received a copy of the Notice of Privacy Practices, which is linked below.
Do you have Medicare? Please print, read, and sign the Medicare Advance Notice Agreement and include that with your new patient paperwork. Please bring your Medicare card along with any supplemental insurance you may have.
Additional forms may be requested by your doctor or front staff.
Youth Patient History
(Required for ages Birth to Twelve years)
If your child is our patient, please complete and return one of the following forms to our office.
Personal Injury Case
Workers' Compensation Case
If you are seeing us under a Personal Injury or Workers' Compensation case, we will need the following information and forms: